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PATHO CHAPTER 5 FLASHCARDS
NURSING
35
Nursing
Not Applicable
11/22/2023

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Term
First line of defense
Definition
Skin

Nonspecific

Unbroken skin and mucous membranes

Secretions such as tears and gastric juices
Term
Second line of defense
Definition
Mast cells non specialized T cells

Create an inflammation process that allows migration of these cells

Extra oxygen

Macrophages eat up all the stuff that was determined to be not part of the cell
Term
Phagocytosis
Definition
The ingestion of bacteria or other material by phagocytes and amoeboid protozoans
Term
Phagocytes
Definition
A type of cell within the body capable of engulfing and absorbing bacteria and other small cells and particles
Term
Third line of defense
Definition
Specific defenses

T cells and B lymphocytes

Antibodies

Specific antibodies
Term
Macrophages
Definition
A large phagocytic cell found in stationary form in the tissues or as a mobile white blood cell, especially at sites of infection
Term
Hydrostatic pressure
Definition
Force of the blood pressure pushing stuff out of the capillaries through the capillary membrane into the interstitial fluid
Term
Venous end
Definition
Will facilitate movement into the capillaries so they can enter the veins

fluid, carbon dioxide, and other wastes

Ultimately leave the body
Term
What are the steps of Inflammation Response
Definition
Injury

Cells release chemical mediators

Vasodilation - Increased blood flow

Increased capillary permeability

Leukocytes move to site of injury

Phagocytosis - Removal of debris in preparation for healing
Term
What are the steps of normal capillary exchange
Definition
Blood flow

Normal fluid shift

Protein remains in blood

Water, electrolytes, and glucose into interstitial fluid

Cells remain in blood
Term
Interstitial fluid
Definition
Interstitial fluid is the body fluid between blood vessels and cells, containing nutrients from capillaries by diffusion and holding waste products discharged by cells due to metabolism. 11 liters of the ECF are interstitial fluid and the remaining three liters are plasma
Term
Disorders are named using the ending
Definition
itis
Term
Inflammation is a _______ defense mechanism
Definition
Normal
Term
Inflammation vs Infection are they the same thing
Definition
Infection and inflammation are not the same thing

Infection can be a cause of inflammation but they are not interchangeable

Unless we have a pathogen present we don't run for antibiotics
Term
Causes of physical damage
Definition
Direct physical damage
cut, sprain

Caustic chemicals
Acid, drain cleaner

Ischemia or infarction
Allergic reactions HUGE source
Extremes of heat of cold

Foreign bodies
Splinter, glass

Infection (Pathogens)
Term
Ischemia vs Infarction
Definition
The term ischemia means that blood flow to a tissue has decreased, which results in hypoxia, or insufficient oxygen in that tissue, whereas infarction goes one step further and means that blood flow has been completely cut off, resulting in necrosis, or cellular death
Term
Steps of Inflammation
Definition
Release of bradykinin from injured cells

Activation of pain receptors by bradykinin

Mast cells and basophils release histamine

Capillary dilation (bradykinin and histamine)

Increased blood flow and capillary permeability

Bacteria may enter the tissue

Neutrophil and monocytes come to injury site

Neutrophils phagocytize bacteria

Macrophages leave bloodstream for phagocytosis of microbes
Term
During the cellular response, leukocytes are attracted to
Definition
Chemotaxis to the area of inflammation as damaged cells release their contents
Term
When monocytes and macrophages collect along the capillary wall and then migrate out through wider separations int he wall into the interstitial area the movement is called
Definition
Diapedesis
Term
Bradykinin
Definition
Is a potent endothelium-dependent vasodilator and mild diuretic, which may cause a lowering of the blood pressure. It also causes contraction of non-vascular smooth muscle in the bronchus and gut, increases vascular permeability and is also involved in the mechanism of pain
Term
Mast cells
Definition
Are immune cells derived from the myeloid lineage. After arising in the bone marrow, progenitor cells circulate and become home to various tissues. Under the influence of stem cell factors locally produced by many cells in the tissue, the progenitor differentiates into a mature mast cell
Term
Basophils
Definition
Are a type of white blood cell that works closely with your immune system to defend your body from allergens, pathogens and parasites. Basophils release enzymes to improve blood flow and prevent blood clots
Term
Histamines
Definition
Histamine is a chemical your immune system releases. It's mainly known for its role in causing allergy symptoms. But it has other important functions, like regulating your sleep-wake cycle and cognitive function. Antihistamines are a common medication that can manage histamine levels
Term
Basophils, neutrophils, and eosinophils are
Definition
Are the three types of granulocytes in the body. Each of these releases different enzymes to fulfill a different role in the body's immune response. The enzymes that basophils release are called histamine and heparin. Histamine is a vasodilator
Term
Neutrophils
Definition
Neutrophils are a type of white blood cell. They help you fight infection. If there are too many neutrophils in your bloodstream, you may develop leukocytosis, or a high total white blood cell count. You may have symptoms such as fevers or recurring infections. These symptoms may be signs of an underlying condition
Term
Local effects of inflammation
Definition
Redness and warmth
- Caused by increased blood flow to damaged area

Swelling (edema)
- Shift of protein and fluid into the interstitial space

Pain
- Increased pressure of fluid on nerves; release of chemical mediators (bradykinins)

Loss of function
- May develop if cells lack nutrients; edema may interfere with movement

Exudate

Serous
- Watery, consists of primarily of fluid, some proteins, and white blood cells

Fibrinous
- Thick, sticky, high cell and fibrin content

Purulent
-Thick, yellow-green, contains more leukocytes, cell debris, and microorganisms

Abscess
- Localized pocket of purulent exudate in solid tissue

Hemorrhagic exudate
- Present when blood vessels are damaged
Term
Abscess
Definition
Is a buildup of a pus that can affect any part of your body
Term
Purulent
Definition
Consisting of, containing, or discharging pus
Term
Serous drainage
Definition
Serous drainage is a clear to yellow fluid that leaks out of a wound. It's slightly thicker than water. It's the fluid that makes your bandage look and feel wet. This type of wound drainage is a normal part of your body's healing process

Too much serous fluid is a sign of an infection
Term
Exudate
Definition
a mass of cells and fluid that has seeped out of blood vessels or an organ, especially in inflammation
Term
Pyrexia
Definition
Mild fever
Term
What is difference between pyrexia and fever
Definition
Fever is any elevation in body temperature above normal body temperature of 98.6 degrees F, whereas pyrexia is typically anything above 100.4 degrees F.
Term
Systemic effects of inflammation
Definition
Release of pyrogens in circulation

Reset hypothalamic control -> High

Body responses that increase body temp.
- Shiver
- Vasoconstriction in skin (pallor)
- Increased BMR
- Increased heart rate
- Curl up body

Body reaches new high temp.
- Feel warm

Treatment to remove pyrogens

Reset hypothalamus to normal

Body responses that increase heat loss
- Vasodilation
- Sweating
- Lethargy
- Extend body

Body returns to normal temp.
Term
Malaise
Definition
Feeling unwell
Term
Pyrogen
Definition
A substance, typically produced by a bacterium, which produces fever when introduced or released into the blood
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